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140 misse d terms
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Term
What is the bes t intervention for the nur se to impl ement when
providing morning care for an ambul atory client with an indw elling
catheter (Foley)?1 of 140
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Keep the catheter intact while
assisting the client with a
HESI PN EXIT EXAM VERSION 3 NEWEST VERSION COMPLETE 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS Term
A LPN/L VN is caring for a client with Mul tiple Sclerosis (MS) who is
receiving an immunsupr essant . Which action is mos t import ant for the
nurse to impl ement to evaluate for adverse effects from this particul ar
medica tion?2 of 140
3 of 140shower
Remove the catheter while the client
takes a shower
Provide the client with a sponge b ath
in a chair or the bed
Assis t the client with a tub with the
catheter clamped
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Obser ve the client's skin for bruising
Auscul tate the client's bowel sounds
Monit or the clients intake and output
Note changes in the client's
weight
Don't know? Term
The LPN/L VN is preparing to assist an el derly client to the b athroom.
The nur se knows that an el derly adult's center of gravity changes from
the hips to another area of the bo dy. Which area of the bo dy is the
center of gravity for the el derly client?
Term
A male client who was admitt ed with Gangr ene of the right lower
extremity (RLE) is confused and his wife refuses to sign the oper ative
permit for an above the k nee amput ation. What action shoul d the nur se
take next?4 of 140Give this one a try later!
Upper torso
Head
Feet
Upper extremities
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Explain the consequences of Sepsis if
the amput ation is delayed
Notify the RN that the client's wife
needs further explanation about the
procedur e Term
A client with Meningitis is in a coma and Nur sing care incl udes seizur e
precautions. To help prevent seizur e activity , what interventions shoul d
the nur se impl ement?5 of 140
Term6 of 140
Document on the client's record the
refusal for surgical treatmentEncour age the client's wife to
express concerns about mak ing
the decision
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Maint ain an oral airway suction
equipment and oxygen at the
bedside
Provide r espir atory isolation
precautions for visitors and s taff
Provide emer gency anti convulsant
medica tion at the bedside
Maint ain a quiet calm darkened
environment
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